Bedwetting is a very unpleasant problem, and many people are reluctant to see a doctor about it. Or they do not know when to go to the doctor with this problem. We have listed here when you should go to the doctor and what you need to think about to be prepared.
What is bedwetting?
Bedwetting or Enuresis nocturna is when a child of five years of age or older wets the bed at least twice a week or when a child of seven years of age or older wets the bed at least once a month without showing any other physical illness or other symptoms. A further distinction is made between children who have never been dry; Primary enuresis nocturna: present since birth or children who have been dry for a period of at least six months. Secondary enuresis nocturna: bedwetting resumes after a period of at least six months of potty training.
It is very important for GPs to know whether the motivation comes from the child or from the parents.
See the doctor?
Before you go to the doctor, it is important for you to have considered about the following questions:
- How often is your child wet?
- Is your child only wet at night or also during the day?
- Does your child keep losing tiny amounts of urine or are they releasing a full bladder?
- How often does the child pee? Normal is three to eight times a day.
- How is the urine flow (does the child have to force, is the flow interrupted or weak, does it drip)?
- Has the child experienced a urinary tract infection (pain when peeing, blood in the urine)?
- Do they also poop their pants or do they have constipation?
As parents, it is also important to think about the general functioning of your child. Does your child have friends or school, does he/she join the group?
But it is also good to think about recent major events for the child (grandpa or grandma who may have died or if parents got divorced). It is important to have a complete picture of your child’s situation.
Bedwetting is hereditary
We know that bedwetting is very much hereditary, so before you go to the doctor, get a good idea of your own history of bedwetting.
- At what age were both parents dry and what about the grandparents?
- Does bedwetting occur in others in the family?
- How was the potty training process during the day?
According to doctors’ guidelines, untreated bedwetting has a good prognosis. It requires patience and restraint.
The doctor will first talk to you as parents and thoroughly investigate the situation at home.
Start with education in a conversation with both the parents and child. If the result is insufficient, one or more of the less intensive behavioural therapy methods are used, possibly followed by more intensive methods. In adolescents and adults, the more intensive treatments are the most suitable: bedwetting alarm, wake-up training, or dry-bed training. With all methods you can use a micturition diary that records fluid intake, urine volume and micturition frequency.
In talking with child and parent(s), emphasize the following aspects:
- clearly state what the intention is;
- provide positive attention;
- place the responsibility on the child;
- be consistent;
- drinking in the evening is allowed;
- no diapers.